抗生素对开放和腹腔镜胆囊切除术手术部位感染的作用:一项比较观察研究。

Pankaj Gharde, Manish Swarnkar, Lalitbhushan S Waghmare, Vijay Manohar Bhagat, Dilip S Gode, Dhirendra D Wagh, Pramita Muntode, Hrituraj Rohariya, Anoop Sharma
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引用次数: 6

摘要

导语:手术部位感染(SSI)是第三大常见的医疗保健相关感染,可导致发病率和死亡率。然而,许多作者认为,在简单和不复杂的病例中,最好不要使用预防性抗生素。腹腔镜,现在是腹部手术中常用的工具。即使采用了新的无菌技术,SSI仍然是一个主要问题。目的与目的:探讨抗生素对开腹和腹腔镜胆囊切除术中浅表SSI的影响。观察与结果:入选胆囊切除术患者100例。将患者分为A、B两组。A组为腹腔镜胆囊切除术患者,B组为开腹胆囊切除术患者。男女比例为1:2 .23。A组患者平均年龄46岁,B组患者平均年龄44岁;年龄标准差(SD) A组为14.8%,B组为13.8%;t值为0.654,P值为0.515,差异均不显著。A组雄性和雌性分别为16和26只,b组为11和31只,卡方X(2) = 1.36, P值为0.248,均不显著。两组手术部位浅表感染发生率均为2.63%。结论:我们的研究表明,开腹胆囊切除术与腹腔镜胆囊切除术的预后无显著差异。开腹胆囊切除术与腹腔镜胆囊切除术的手术部位感染率无显著差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Role of antibiotics on surgical site infection in cases of open and laparoscopic cholecystectomy: a comparative observational study.

Introduction: Surgical site infection (SSI) comes as third most common healthcare related infection which produces morbidity and deaths at large. Still many authors believe that it is better not to use prophylactic antibiotics in simple and uncomplicated cases. Laparoscope, now-a-days is a much used instrument for abdominal surgeries. Even after new aseptic techniques SSI remains to be a major problem.

Aims and objectives: To study the effect of antibiotics on superficial SSI in the cases of open and laparoscopic cholecystectomy.

Observation and results: One hundred patients were enrolled for cholecystectomy. The patients were divided into two groups, A and B. Group A consisted of patients in whom laparoscopic cholecystectomy was done and group B in whom open cholecystectomy was done. The male female ratio was 1: 2.23. The mean age of patients in Group A was 46 years and in Group B was 44; Standard deviation (SD) for age was 14.8% and 13.8% in groups A and B respectively; t-value was 0.654 and P value was 0.515 and they were not significant. The number of males and females was 16 and 26 respectively in Group A and 11 and 31 in Group B. The Chi square X(2) = 1.36 and P value was 0.248 and both were insignificant. The rate of superficial surgical site infection was 2.63% in both the groups.

Conclusion: Our study concludes that there is no difference in the outcome of patients in cases of open as well as laparoscopic cholecystectomy. There is no significant difference in the surgical site infection rate in cases of open as well as laparoscopic cholecystectomy.

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